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Assistive technology in palliative medicine: equipment needs.
Renae Kelly1,2, Bridget Manning1, Kieran Broome3,4
1Medical Aids Subsidy Scheme, Metro South Hospital and Health Service, Cannon Hill, Queensland, Australia.
BMJ Supportive & Palliative Care
|January 5, 2023
Summary
Assistive technology supports palliative care at home. This study analyzed equipment needs across diagnostic groups, revealing distinct requirements to guide future palliative care equipment programmes (PCEP).
Area of Science:
- Palliative Care
- Assistive Technology
- Health Services Research
Background:
- Most individuals express a preference for end-of-life care at home.
- Assistive technology is crucial for enabling patients to remain at home during the palliative phase.
- A state-wide palliative care equipment programme (PCEP) was implemented in Queensland, Australia, to coordinate assistive technology provision.
Purpose of the Study:
- To identify population-wide palliative care equipment needs.
- To examine the relationship between equipment needs and primary diagnostic categories.
- To establish a benchmark for developing population-wide palliative care equipment programmes.
Main Methods:
- Retrospective, cross-sectional analysis of equipment provision over 19 months.
- Inclusion of data on equipment types, participant rurality, age, and diagnostic category.
- Analysis of 13,764 approved equipment requests.
Main Results:
- A median of approximately 35 days between equipment application and patient death was observed.
- Significant variations in equipment requirements were identified across different diagnostic categories.
- Data provides insights into population-wide palliative care equipment needs.
Conclusions:
- The study findings can serve as a benchmark for developing population-wide palliative care equipment programmes.
- Understanding typical equipment needs by diagnostic group can aid practitioners in planning.
- This research supports coordinated assistive technology provision for palliative care at home.
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